NPI | 1992530109 |
---|---|
Doing Business As | CODAC BEHAVIORAL HEALTHCARE |
Entity Type | Organization |
Authorized Contact | ALISHA M BOURDEAU Chief Financial Officer 401-275-5038 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 251K00000X Public Health or Welfare |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2024-09-06 |
Last Update Date | 2024-09-06 |